LEIK FNP PRACTICE
QUESTIONS AND CORRECT
DETAILED ANSWERS
A prescription of methyldopa (Aldomet) to control BP - ANSWER --Treatment for mild
preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control BP.
It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic -
ANSWER --A 72 yo woman has been on hydrochlorothiazide 12.5mg for many years to
control her Stae I HTN. Her blood pressure at this visit is 168/96. She is currently complaining of
pain in her right hip and on both knees. She has increased her dose of ibuprofen from 400mg 3
times a day to 800mg 3 times a day. She is still in pain and would like something stronger. Which
of the following statements is the best explanation of the effects of ibuprofen on her disease.
Acute appendicitis - ANSWER --The NP would test the obturator and iliopsoas muscle to
evaluate for what?
Nursing home care - ANSWER --All of the following services are covered under Medicare
Part A except:
A) Inpatient hospitalizations
,B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons
Mycoplasma pneumonia - ANSWER --A 28 yo student is seen in the school health clinic
with complaints of hacking cough that is productive of small amounts of sputum and runny
nose. He does not take any meds, denies any allergies, and has no significant medical history.
Physical exam reveals a low-grade temperature of 99.9 degrees F, respirations of 16/min, pulse
=90, and diffuse fine crackles in the base of the lungs. A chest x-ray shows diffuse infiltrates in
the lower lobe of the right lung. The total white blood cell count is 10,500/uL. What is the likely
diagnosis?
Calcium channel blockers - ANSWER --Which of the following antihypertensive
medications has beneficial effects for an elderly white female with osteoporosis?
Knee instability - ANSWER --The Lachman maneuver is used to detect which of the
following?
Tanner Stage III - ANSWER --When an adolescent male's penis grows more in length than
width, at which of the following Tanner stages is he classified?
Toxoplasma gondii, other infections, rubella, cytomegalovirus and herpes - ANSWER --
Fetal TORCH infections can cause microcephaly, mental retardation, hepatosplenomegaly, and
intrauterine growth retardation. The acronym for TORCH stands for:.
Laryngeal neoplasia - ANSWER --HPV infection of the larynx has been associated with:
,Degenerative joint disease - ANSWER --Mr. Brown is a 65 y/o carpenter complaining of
morning stiffness and pain in both his hands and right knee upon awakening. He feels some
relief after warming up. On exam, the nurse notices the presence of Heberden's nodes. What is
most likely diagnosis?
Instability of the knee - ANSWER --What does the positive posterior drawer sign in a 10 yr
old soccer player signify?
From 33-35 cm - ANSWER --A multigravida who is at 34 wks gestation wants to know at
what level her uterine funds should be. The best answer is to advise the mother that her funds
is:
Advise mother that her pregnancy is progressing well - ANSWER --A multigravida who is
28wks gestation has a fundal height of 29cm. What is the best recommendation for this patient?
Creatinine - ANSWER --Which laboratory test is used in primary care to evaluate renal
function?
Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the disorder -
ANSWER --All of the following are false statements regarding acute gastritis except:
A) Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening rest for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy.
Apraxia and fatigue - ANSWER --Signs and symptoms of depression do not include:
, A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the
abdomen below the costovertebral angle. - ANSWER --Which of the following is an
accurate description of eliciting for Murphy's sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the
abdomen below the costovertebral angle
B) Bend the patient at the hips and knees at 90 degrees, then passively rotate hip externally,
then internally
C) Ask the patient to quit, then place the stethoscope on the apical area.
D) Press into the abdomen deeply, then released it suddenly
Murphy's Sign - ANSWER --Positive if pain occurs when performing RUQ palpation while
patient takes a deep breath, causing the patient to abruptly stop the deep breath due to pain.
As the liver is palpated, it will descend and push up against the inflamed gallbladder and cause
sharp pain (cholecystitis)
Apraxia - ANSWER --a disorder of the nervous system in which the brain is affected and
the patient is unable not move the arms/legs when asked to do so.
10mm - ANSWER --A 39 yo migrant worker presents to the clinic 2.5 days after a purified
protein derivative (PPD) test. What minimum size of induration would be considered positive for
this patient?
The patient's spouse has the right to override the agent's decisions - ANSWER --All of the
following are correct statements regarding the role of the person named in a durable power of
attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's life such as financial issues.
C) The agent can decide for the patient who is on life support when that life support can be
terminated.
QUESTIONS AND CORRECT
DETAILED ANSWERS
A prescription of methyldopa (Aldomet) to control BP - ANSWER --Treatment for mild
preeclampsia includes all of the following except:
A) Bed rest except for bathroom privileges
B) Close monitoring of weight and blood pressure
C) Close follow-up of urinary protein, serum creatinine, and platelet count
D) A prescription of methyldopa (Aldomet) to control BP.
It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic -
ANSWER --A 72 yo woman has been on hydrochlorothiazide 12.5mg for many years to
control her Stae I HTN. Her blood pressure at this visit is 168/96. She is currently complaining of
pain in her right hip and on both knees. She has increased her dose of ibuprofen from 400mg 3
times a day to 800mg 3 times a day. She is still in pain and would like something stronger. Which
of the following statements is the best explanation of the effects of ibuprofen on her disease.
Acute appendicitis - ANSWER --The NP would test the obturator and iliopsoas muscle to
evaluate for what?
Nursing home care - ANSWER --All of the following services are covered under Medicare
Part A except:
A) Inpatient hospitalizations
,B) Medicines administered to a patient while hospitalized
C) Nursing home care
D) Surgeons
Mycoplasma pneumonia - ANSWER --A 28 yo student is seen in the school health clinic
with complaints of hacking cough that is productive of small amounts of sputum and runny
nose. He does not take any meds, denies any allergies, and has no significant medical history.
Physical exam reveals a low-grade temperature of 99.9 degrees F, respirations of 16/min, pulse
=90, and diffuse fine crackles in the base of the lungs. A chest x-ray shows diffuse infiltrates in
the lower lobe of the right lung. The total white blood cell count is 10,500/uL. What is the likely
diagnosis?
Calcium channel blockers - ANSWER --Which of the following antihypertensive
medications has beneficial effects for an elderly white female with osteoporosis?
Knee instability - ANSWER --The Lachman maneuver is used to detect which of the
following?
Tanner Stage III - ANSWER --When an adolescent male's penis grows more in length than
width, at which of the following Tanner stages is he classified?
Toxoplasma gondii, other infections, rubella, cytomegalovirus and herpes - ANSWER --
Fetal TORCH infections can cause microcephaly, mental retardation, hepatosplenomegaly, and
intrauterine growth retardation. The acronym for TORCH stands for:.
Laryngeal neoplasia - ANSWER --HPV infection of the larynx has been associated with:
,Degenerative joint disease - ANSWER --Mr. Brown is a 65 y/o carpenter complaining of
morning stiffness and pain in both his hands and right knee upon awakening. He feels some
relief after warming up. On exam, the nurse notices the presence of Heberden's nodes. What is
most likely diagnosis?
Instability of the knee - ANSWER --What does the positive posterior drawer sign in a 10 yr
old soccer player signify?
From 33-35 cm - ANSWER --A multigravida who is at 34 wks gestation wants to know at
what level her uterine funds should be. The best answer is to advise the mother that her funds
is:
Advise mother that her pregnancy is progressing well - ANSWER --A multigravida who is
28wks gestation has a fundal height of 29cm. What is the best recommendation for this patient?
Creatinine - ANSWER --Which laboratory test is used in primary care to evaluate renal
function?
Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the disorder -
ANSWER --All of the following are false statements regarding acute gastritis except:
A) Chronic intake of non steroidal anti-inflammatory drugs (NSAIDs) can cause the disorder
B) Chronic lack of dietary fiber is the main cause of the disorder
C) The screening rest for the disorder is the barium swallow test
D) The gold standard to evaluate the disorder is a colonoscopy.
Apraxia and fatigue - ANSWER --Signs and symptoms of depression do not include:
, A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the
abdomen below the costovertebral angle. - ANSWER --Which of the following is an
accurate description of eliciting for Murphy's sign?
A) Upon deep inspiration by the patient, palpate firmly in the right upper quadrant of the
abdomen below the costovertebral angle
B) Bend the patient at the hips and knees at 90 degrees, then passively rotate hip externally,
then internally
C) Ask the patient to quit, then place the stethoscope on the apical area.
D) Press into the abdomen deeply, then released it suddenly
Murphy's Sign - ANSWER --Positive if pain occurs when performing RUQ palpation while
patient takes a deep breath, causing the patient to abruptly stop the deep breath due to pain.
As the liver is palpated, it will descend and push up against the inflamed gallbladder and cause
sharp pain (cholecystitis)
Apraxia - ANSWER --a disorder of the nervous system in which the brain is affected and
the patient is unable not move the arms/legs when asked to do so.
10mm - ANSWER --A 39 yo migrant worker presents to the clinic 2.5 days after a purified
protein derivative (PPD) test. What minimum size of induration would be considered positive for
this patient?
The patient's spouse has the right to override the agent's decisions - ANSWER --All of the
following are correct statements regarding the role of the person named in a durable power of
attorney except:
A) The agent's decisions are legally binding
B) The agent can make decisions in other areas of the patient's life such as financial issues.
C) The agent can decide for the patient who is on life support when that life support can be
terminated.
